Listeriosis of the newborn P37.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Granulomatosis infantiseptica; Newborn listeriosis; perinatal listeriosis

Definition
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Fetopathy caused by diaplacental infection with Listeria monocytogenes (gram-positive rod that is apathogenic for adults) with disseminated granulomas on the skin and in internal organs.

Occurrence/Epidemiology
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Especially for premature babies.

Clinical features
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Skin symptoms: Disseminated, pinhead-sized, yellowish-white nodules on the entire integument surrounded by a red courtyard, see also listeriomas. Multiple organ symptoms due to granulomas in liver, lung, spleen, intestine, pharyngeal mucosa. Meningitis/Meningoencephalitis.

Diagnosis
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Pathogen detection from blood, liquor, throat swab, meconium, amniotic fluid. Serological diagnostics.

Therapy
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Pediatric intensive care. High-dose parenteral antibiotic therapy with combination of ampicillin and aminoglycosides. Dosage: Ampicillin (e.g. Binotal) 100-200 mg/kg bw/day i.v. in 2-4 ED, gentamicin (e.g. Refobacin) 5 mg/kg bw/day.

Progression/forecast
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Untreated infaust.

Literature
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  1. Benshushan A et al (2002) Listeria infection during pregnancy: a 10 year experience. Isr Med Assoc J 4: 776-780
  2. Gilbert GL (2002) 1: Infections in pregnant women. Med J Aust 176: 229-236
  3. Siegman-Igra Y et al (2002) Listeria monocytogenes infection in Israel and review of cases worldwide. Emerg Infect Dis 8: 305-310

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020